The next video that you'll watch is going to be called the systematic approach. This is how to assess your patient. There's a lot of information going on during this video. And a lot of it is really important. So let's just kind of pick it apart and take it step by step. So whenever you want to assess your patient, there's basically five steps that we need to make sure that we do in order every time we want to help somebody.

The very first step is going to make sure that our scene is safe. Believe it or not, our primary responsibility is to ourselves. The patient is second. I know it sounds weird, but if we think that we're going to be hurt trying to help somebody, or if there's a safety threat to healthcare providers, we should stop CPR or we should move away until that until that scene does become safe. Once we've once we've decided that the scene is safe, the next thing we'd like to do is check for responsiveness. that's step number two.

Shake and shout is great. I like to take my knuckles and rub it a bit down Their sternum really, really, really hard. And I want them to say, Hey, man, get off me or hurting my chest. That is a fantastic day. So sorry, sir, I thought you were dead by. But if they're not responding to, you know, we have a big issue.

So the next step is to get somebody else involved. And it's going to depend on where you're at. If you're out in public, it's looking at someone and saying, hey, I need you to call 911 and grab me and add. Or if it's a medical facility, you might want to hit the Code Blue Button, or call the crash team or whatever you need to do get some colleagues involved to bring that defibrillator card over. Once we've activated some type of emergency service, we need to now check our patient, are they breathing? And do they have a pulse, and we're going to check it at the same time for at least five seconds, but no longer than 10 seconds.

If there's no pulse and no breathing, Step five is to do what? That's right. We got to do CPR, CPR hard and fast. And we'll get into the particulars about that here in just a little bit. But let's say that we're assessing our patient and realize that they do have a good strong impulse, but they're not breathing or they're not breathing normally, maybe they're gasping. At this point, we don't need to start chest compressions, because they do have a good pulse.

But we may want to start initiating rescue breaths. So that's for somebody who has a pulse, but is not breathing or not breathing normally. And rescue breaths can be given for adults, one breath about every five to six seconds, or about 10 to 12 per minute. So rescue breathing without chest compressions. Now, during the course of of a cardiac arrest, as we mentioned before, your patient will become intubated or hopefully will. Now in this particular case, when we're doing CPR on a patient who has that advanced airway in place, we're not going to do ar 30 and two, which we'll talk about here in just a little bit, but what we'll do is we'll do continuous chest compressions for the full two minutes cycle without stopping, but whoever's delivering the breast with that bag mask is going to deliver the breath asynchronously one breath every six seconds.

So we're not even talking to each other at this point somebody is doing chest compressions and one person squeezing that bag once every six seconds. One of the best ways to to figure out the neurologic status of your patient is to remember this is called an F who is part of the Glasgow Coma Scale. So A stands for alert. Is your patient alert. V stands for are they alert to your voice? P stands for are they alert to your pain or the pain you're giving them?

Such as that nice firm sternal rub. And if they're not waking up by you screaming at them and rubbing on their sternum, we got a big problem. We have to classify them as unresponsive. And for an unresponsive patient, we need to make sure of two things immediately. What are those two things? airway and pulse?

Fantastic. So there's your app. Ooh, I kind of backing up just a little bit. We have a person who's not feeling good. Maybe we suspect that they're having one of the acute coronary syndromes. There are a lot If they're talking to you, and we want to treat them Now, with that being said, we need to ask some questions before we start doing things for people.

So it's not a bad idea to use the sample mnemonic sh MP l e. So S stands for signs and symptoms. A stands for allergies. M stands for medications, what medications are they taking? P stands for past medical history want them to focus on what's pertinent with this particular patient. L stands for last meal, we need to know what's in their stomach for a bunch of different reasons. And then he events what was the patient doing when all this stuff started happening?

So it's a great way to assess and we can take whichever direction we need to to fix our patient based on that information. Now, another thing that they'll talk about during the systematic approach video is going to be the H's and T's H's and T's these this is a mnemonic for us to remember during cardiac arrest and Post cardiac arrest because these are things that people can actually go into cardiac arrest for so we can find them. We can fix them. And we're going to look for them during and after cardiac arrest like I mentioned. So